The U.S. is headed toward two very different vaccination realities

Turmoil at the Centers for Disease Control and Prevention and states’ beginning to take more control of their own vaccine decisions threaten to fracture the once-national consensus around immunization, setting the stage for a reorganization of the way vaccination recommendations work across the United States. The moves together point toward an increasingly stark divide emerging in the United States around vaccinations, with some Republican-led states starting to roll back or eliminate mandates while Democrat-led states split from the CDC to come up with their own vaccination guidance.